Proper Removal Technique for Old Mercury Silver Dental Fillings

As awareness of the dangers of mercury amalgam dental fillings increases, so does the number of dentists who perform mercury removal procedures. Unfortunately, this comes with risks.

Many dentists, in their haste to help people, don’t learn the proper and safe method for removing mercury silver fillings. Why does it matter? Because by not following the proper safety protocols, you could actually be in more danger when having mercury removed than you are in just leaving the fillings in your mouth.

When mercury fillings are removed, the mercury is disturbed by the drill, releasing dangerous vapors and mercury particulates in your mouth.

So how do you protect yourself? How do you know if your dentist is following the proper safety protocol when removing your old mercury amalgam fillings? Below is a quick video that should help you better understand the proper protocol (as specified by the International Academy of Oral Medicine and Toxicology’s (IAOMT)) so you can ask your dentist about it and recognize the steps he or she should be taking during your procedure.

Is Stress Taking it’s Toll on Your Teeth?

The economy is bad. Unemployment is high. Real estate values are low… It’s a stressful time for many — if not most — families in America right now. But who’s taking the worst of it? Who — or what — is the biggest punching bag for all our stress? It’s possibly our teeth.

In a recent New York Times article (When Stress Takes a Toll on Your Teeth, By Camille Sweeney, October 7, 2009), Manhattan dentist Dr. Robert Rawdin, reported to have seen “20 to 25 percent more patients with teeth grinding symptoms in the last year. And in San Diego, Dr. Gerald McCracken said that over the last 18 months his number of cases had more than doubled.”

“We’re finding in a lot of double-income families, we have the people who have lost jobs and are worried, and then we have the spouse, who still has the job, with the added pressure and uncertainty,” Dr. McCracken said. “This can cause some real grinding at night.”

Teeth grinding — or Bruxism — is an unconscious act, so most people don’t know they grind their teeth. In fact, most grinders are night grinders, rubbing away at their teeth as they sleep. The only way to distinguish what’s going on is symptomatic. Jaw and facial pain, headaches and earaches are some of the most commonly reported. Perhaps the most damaging affect, however, is the physical wear on the teeth.

Teeth grinders can exert as much as 10 times the amount of pressure on their teeth when the are sleeping as they do when they are eating. Not coincidentally, they can also wear away the enamel on their teeth 10 times faster. Since we only get one set of “adult” teeth that are expected to last us a lifetime, the long term affects of severe tooth wear can be devastating.

So what’s the solution? On the high-end is veneers. Expensive, veneers can repair the look and functionality of your teeth. Unfortunately, veneers won’t help solve the root problem: you’ll still grind your teeth. The most common solution is an occlusal splint, or night guard.

Custom night guards can not only help stop the grinding, they can actually help train the muscles to stop the grinding motion altogether for some patients, eliminating the long term need for the guard.  Night guards are not all the same.  We fabricate guards the fit the lower teeth and are adjusted to the proper bite alignment.

While inexpensive night guards are available over the counter, many are made of soft plastics that can actually increase the chewing and grinding action, compounding the problem.  That’s right, run of the mill guards can make things worse!

Stress can affect us all in different ways, but one of the more common manifestations is the grinding of our teeth. If your teeth show wear in your molars or anywhere else — whether you’re stressed or not — or if you’re getting frequent facial pain or headaches, see a dentist. While over the counter and prescription pain medications can alleviate the pain, they will do nothing to solve the problem, which may well be rooted in your teeth.

The Alternatives to Root Canals

We talk a lot about the alternatives to root canals typically the only alternative mentioned is extraction of the tooth. But is that really the only alternative? Surely there must be other options, right? This was the question posed by Sean after listening to recent podcasts (Root Canals, Infections, Formaldehyde, Oh My!).

The truth is, there are other alternatives depending on the situation. We’ll try to explain it all in detail, here.

First off, if you really need a root canal, then that means the damage has gone too far and you are having serious symptoms (toothache or swelling). At that point, the healthiest option is to extract the tooth and replace it.

Root canals, however, are often recommended for the wrong reasons (such as when a dentist has exhausted or ruled out other sources or causes for tooth pain). A common incident is when the bite is off and the problem tooth is sore and causing pain. Another common example is when the gums have receded and the tooth is painful because of exposed dentin. Of course, taking out the nerve will cut sensation or feeling to the tooth, but it by no means is the source of the problem is cured.

The reason root canals are so often recommended is because many dentists don’t spend enough time diagnosing the root cause of the problem. Diagnosis is time-consuming and inefficient. For every minute a dentist spends diagnosing the source of your dental pain, he or she loses money (because that time could have been spent seeing more patients). While many dentists will dedicate the time to properly diagnose problems, far too many take the easy route and make assumptions in order to quickly provide a solution. Root canals will most often remove the cause of the pain (again, because you’ve removed the nerve), therefore, root canal therapy is often recommended.

Now, if the dentist has properly diagnosed the cause of your problems and if you really have a true need for a root canal (infection or deep cavity), then the damage is too great to reverse. The healthiest alternative to a root canal is simply to take out the infection by removing the tooth.

Does this sound barbaric when you can “save” the tooth with root canal therapy? Probably at first. But what dentists are unaware of are the links between leaving an infected tooth in the body and other systemic illnesses (such as breast cancer). It’s called the focal infection theory. A better question would be, “Would you jeopardize your health to ’save’ a tooth?”

If you have an infection or severe decay that has caused a deep cavity and a root canal is recommended, your only two options are extraction or root canal therapy. That’s why knowledge and prevention is of utmost importance: learn how to prevent decay and the spread of tooth decay and you’ll never have to deal with a root canal.

If a root canal is recommended to you, you should definitely get a second or third opinion to confirm the true need for the procedure. Unfortunately, too many dentists do root canals for the wrong reasons and you may have other, less “barbaric” solutions if you were misdiagnosed and don’t need to undergo the procedure.

If you already have a root canal and are wondering if there’s a link with that tooth and the rest of the body, view a tooth meridian chart (we have an interactive meridian chart here: Tooth Meridian Chart) or visit a natural or holistic dentist. A lot of times, extracting the problem tooth can help alleviate or eliminate problems (not always, so again, get a second or third opinion before taking action).

The short answer to the alternatives to a root canal question is… If you really, truly need a root canal, you have only two options: root canal therapy or extraction. However, there is always the chance that you have been misdiagnosed and have many, safer, more appealing options available to you.

Patient Testimonials

Marybell’s Root Canal Extraction

Marybell had been suffering from vertigo-like symptoms consistently for quite a while. The dizziness had her seeing multiple medical specialists in an attempt to find a cure to the problem, but to no avail. When someone suggested that her problems could be related to her root canal, she returned to her regular dentist, who not only told her that there was nothing wrong, but also that he refused to extract the root canal.

Marybell visited The Center for Natural Dentistry, where her root canal was extracted and she had almost immediate improvement in her symptoms. The root canal tooth had become infected and was releasing toxins into her body, which could have been the root of her problems.

Marybell’s story is a good one. Check it out and see for yourself the affects that an infection in the mouth caused by a root canal can have on your overall well being.

X-Ray Example of an Amalgam Filling and Tooth Decay

I recently had someone ask me to evaluate an x-ray taken by another dentist. As you can see (in the image posted below), there’s clearly an amalgam filling (the bright white spot). You can also clearly see the cavity just to the left of the filling. What you can’t clearly see is what decay is developing below the mercury filling. That’s one of the problems with traditional x-rays.

You can’t see small decay on radiographs.  By the time you see it (as with the decay in this particular image), the decay is large.  X-rays really only see minerals, so only when the tooth has been decayed to the point there are no minerals, then the x-rays will look different.  Waiting until that happens results in more pain and possible extractions (or root canals if you go to a dentist that believes in those).

CT Scans will more clearly show decay under the filling and other small areas of decay (and the patient isn’t exposed to the large quantities of radiation an x-ray produces).

However, based on the decay next to the amalgam filling, and because decay under a poorly placed amalgam filling is very common, there is an above average chance that there is currently decay under the filling, as well.

What else can this one image tell us? Because there’s a large cavity in the tooth beside the silver filling, the patient probably has a diet that is conducive to decay (acidic carb diet). To reduce the chances of future decay, changing to a diet that’s lower in acid (water such as Essentia can help: Essentia Water Review), rinsing your mouth regularly after eating, and adhering to a proper dental care regimen can make a world of difference.

Dr. Marvin

PS: Thanks to the patient for allowing me to reprint this image and show a good example of decay around an amalgam filling. If you have particular questions about the x-ray, please leave a comment and I’ll do my best to get you a good answer.

Next Page »